Abstract

A 4-year-old girl presented with history of cyanosis since infancy. Examination revealed single second heart sound and an ejection systolic murmur in the left upper parasternal area. Echo showed situs solitus, levocardia, and a large unrestrictive ASD. There was a giant left atrial appendage (LAA) aneurysm, communicating with the left atrial (LA) cavity through a large opening …

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